scholarly journals Long term effectiveness of dialectical behavior therapy versus enhanced usual care for adolescents with self‐harming and suicidal behavior

2019 ◽  
Vol 60 (10) ◽  
pp. 1112-1122 ◽  
Author(s):  
Lars Mehlum ◽  
Ruth‐Kari Ramleth ◽  
Anita J. Tørmoen ◽  
Egil Haga ◽  
Lien M. Diep ◽  
...  
Keyword(s):  
Usual Care ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Suicidal Behavior

Treatment selection in borderline personality disorder between dialectical behavior therapy and psychodynamic psychiatric management

2020 ◽  
pp. 1-9 ◽  
Author(s):  
John R. Keefe ◽  
Thomas T. Kim ◽  
Robert J. DeRubeis ◽  
David L. Streiner ◽  
Paul S. Links ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Social Adjustment ◽  
Symptom Relief ◽  
Borderline Personality ◽  
Optimal Treatment ◽  
Long Term Outcomes

Abstract Background No evidence-based therapy for borderline personality disorder (BPD) exhibits a clear superiority. However, BPD is highly heterogeneous, and different patients may specifically benefit from the interventions of a particular treatment. Methods From a randomized trial comparing a year of dialectical behavior therapy (DBT) to general psychiatric management (GPM) for BPD, long-term (2-year-post) outcome data and patient baseline variables (n = 156) were used to examine individual and combined patient-level moderators of differential treatment response. A two-step bootstrapped and partially cross-validated moderator identification process was employed for 20 baseline variables. For identified moderators, 10-fold bootstrapped cross-validated models estimated response to each therapy, and long-term outcomes were compared for patients randomized to their model-predicted optimal v. non-optimal treatment. Results Significant moderators surviving the two-step process included psychiatric symptom severity, BPD impulsivity symptoms (both GPM > DBT), dependent personality traits, childhood emotional abuse, and social adjustment (all DBT > GPM). Patients randomized to their model-predicted optimal treatment had significantly better long-term outcomes (d = 0.36, p = 0.028), especially if the model had a relatively stronger (top 60%) prediction for that patient (d = 0.61, p = 0.004). Among patients with a stronger prediction, this advantage held even when applying a conservative statistical check (d = 0.46, p = 0.043). Conclusions Patient characteristics influence the degree to which they respond to two treatments for BPD. Combining information from multiple moderators may help inform providers and patients as to which treatment is the most likely to lead to long-term symptom relief. Further research on personalized medicine in BPD is needed.

Dialectical Behavior Therapy for Borderline Personality Disorder and Suicidality Among Sexual and Gender Minority Individuals

2019 ◽  
pp. 408-429
Author(s):  
David W. Pantalone ◽  
Colleen A. Sloan ◽  
Adam Carmel
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Suicidal Behavior ◽  
Borderline Personality ◽  
Gender Minority ◽  
Sexual And Gender Minority ◽  
And Gender ◽  
Lgbt Individuals

Population-based estimates of borderline personality disorder (BPD) prevalence in lesbian, gay, bisexual, and transgender (LGBT) individuals are lacking. However, epidemiologic data point to high rates of suicidality, including suicide attempts and self-harm, for LGBT individuals—likely due to the high levels of stigma and discrimination that sexual and gender minority individuals experience. The first-line treatment for BPD and suicidal behavior is dialectical behavior therapy (DBT)—a cognitive–behavioral treatment with an emphasis on skills training, based on a biosocial model of disordered behavior—which aims to help clients end suicidal behavior, improve emotion regulation capabilities, and build a “life worth living.” Despite a lack of empirical support, a DBT conceptualization is highly consistent theoretically with the tenets of LGBT-affirmative therapy. This chapter discusses areas of convergence between the biosocial model and the minority stress model, and it presents two case studies of the application of DBT to LGBT clients.

Efficacy of dialectical behavior therapy compared to supportive therapy in adolescents with suicidal behavior

2017 ◽  
Vol 27 ◽  
pp. S853-S854 ◽  
Author(s):  
P. Santamarina Pérez ◽  
S. Romero Cela ◽  
I. Méndez Blanco ◽  
E. Font Martínez ◽  
M. Picado Rossi ◽  
...  
Keyword(s):  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Suicidal Behavior ◽  
Supportive Therapy

A Narrative Review on Dialectical Behavior Therapy for Patients with Depressive Difficulties

2021 ◽  
Vol 18 ◽  
Author(s):  
Aryendu Kumar Saini ◽  
Pranay Wal ◽  
Ankita Wal ◽  
Rashmi Saxena Pal ◽  
Om Prakash Verma
Keyword(s):  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Behavioral Therapy ◽  
Controlled Trial ◽  
Psychological Disorders ◽  
Borderline Personality ◽  
Randomized Controlled ◽  
Long Term Effect

Background: Dialectical behavior therapy (DBT) is a type of cognitive behavioral therapy (CBT) that was earlier intended to treat only patients with borderline personality disorder (BPD), but researchers have found DBT to treat several psychological disorders, including depression. Aim: The article aims to review the clinical shreds of evidence regarding the use of DBT to treat depression. Methods: PubMed literature search was done by applying the year filter range, 2010 to 2021. Another filter applied was "Randomized controlled trial", so that the strength of evidence could be enhanced. The keywords used were "Dialectical Behavior Therapy" AND "Depression Results: 33 articles were found, out of which only 20 relevant articles were reviewed. DBT was found to alleviate depressive symptoms associated with different psychological disorders like bipolar disorder and BPD but the number of studies that validated the afore-mentioned were less than those studies which showed that DBT had no significant effect on the patients with depressive difficulties. The long-term effect of DBT for treating depression is under a suspect, as studies showed DBT got ineffective during the follow-ups Conclusion: DBT shows benefits in depression but further studies are still required to validate this concretely as DBT did not show a significant effect when compared to its control counterparts. There is much need for future studies which can evaluate the long-term efficacy of DBT in depression is another challenging area because follow-up data did not favor DBT.

Brief Dialectical Behavior Therapy (DBT-B) for Suicidal Behavior and Non-Suicidal Self Injury

2007 ◽  
Vol 11 (4) ◽  
pp. 337-341 ◽  
Author(s):  
Barbara Stanley ◽  
Beth Brodsky ◽  
Joshua D. Nelson ◽  
Rebecca Dulit
Keyword(s):  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Suicidal Behavior ◽  
Self Injury
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